Case 78

Case 78

Medical history

A previously healthy 30-year-old female patient complained of dry cough and persistent dyspnea which had begun a month before and showed no response to antibiotics or corticoids. She also reported epigastric pain, vomiting and copious sweating. On examination, she was normotensive and tachycardic. Both computed tomography and 123-I-metaiodobenzylguanidine (MIBG) scintigraphy revealed an adrenal mass.

Question:
Taking the clinical data and imaging studies into consideration, it's reasonable to assert that:

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